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2004, Number 2

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Med Crit 2004; 18 (2)

Obstruction of the air tract due to superior venous cava syndrome related to central venous catheter for hemodyalisis.Report of a case about a patient with renal transplantation, added complications, endovascular therapy and review of the literature

Zataraín GJB, Ñamendys SSA, Posadas CJG, Domínguez CG
Full text How to cite this article

Language: Spanish
References: 6
Page: 63-66
PDF size: 57.76 Kb.


Key words:

Superior cava venous syndrome, central intravenous line, endovascular therapy..

ABSTRACT

We report a 39 years old man, with hypertension and chronic renal failure in treatment with hemodyalisis. He has had a central venous catheter (Mahurkar) for two years. He came to the ICU after a surgical procedure (Renal Transplantation). We recognize a Superior Venous Cava Syndrome because of facial edema, neck edema, venous network on anterior thorax and bilateral arm edema. X ray thorax showed a wide mediastinum. We made an angiography and it showed an obstruction of superior cava venous. Angioplasty was made with two consecutive insufflations. Two days after an endoprotesis was placed at stenosis level. Permeability of cava system was achieved.


REFERENCES

  1. Cancer Medicine. 5a ed. American Cancer Society. Sección 42, emergencias oncológicas.

  2. Madam A, Allmon JC. Dialysis Access-Induced Superior Vena Cava Syndrome. Am Surg 2002;68:904-906.

  3. Kroencke T, Taupitz M. Three-Dimensional Gadolinium-Enhanced Magnetic Resonance Venography in Suspected Thrombo-occlusive Disease of the Central Chest Veins. Chest 2001;120(5):1570-76.

  4. Verso M, Agnelli G. Venous Thromboembolism Associated With Long-Term Use of Central Venous Catheters in Cancer Patients. J Clin Oncol 2003;21:3665-75.

  5. Yamagami T, Nakamura T. Hemodynamic Changes After Expandable Metallic Stent Therapy for Vena Cava Syndrome. AJR 2002;178:635-639.

  6. Courtheoux P, Alkofer B. Stent Placement in Superior Vena Cava Syndrome. Ann Thorac Surg 2003;75:158-61.




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Med Crit. 2004;18